Manual of gynecology . column (Fig. 26, b). This begins near the urethral orifice or about1£ cm. above it. According to Budin, the columns are prolonged on thehymen. The posterior vaginal wall is triangular in shape and extends from thevaginal orifice upwards to the cervix uteri upon which it is reflected, thusforming the posterior fornix vaginas, which is deeper than the anterior ANATOMY OF THE FEMALE PELVIC ORGANS. 27 oue. Its length is about 7£ cm. (3 inches), , about 2| cm. (nearly 1inch) longer than the anterior. It is also transversely rugous, and has aposterior column analogous to t
Manual of gynecology . column (Fig. 26, b). This begins near the urethral orifice or about1£ cm. above it. According to Budin, the columns are prolonged on thehymen. The posterior vaginal wall is triangular in shape and extends from thevaginal orifice upwards to the cervix uteri upon which it is reflected, thusforming the posterior fornix vaginas, which is deeper than the anterior ANATOMY OF THE FEMALE PELVIC ORGANS. 27 oue. Its length is about 7£ cm. (3 inches), , about 2| cm. (nearly 1inch) longer than the anterior. It is also transversely rugous, and has aposterior column analogous to the anterior, but smaller. While the direction of the anterior vaginal wall is almost straight, thatof the posterior vaginal wall is sigmoid (Fig. 27). The curve varies, how-ever, according to the position of the uterus, and the fulness or emptinessof: the adjacent bladder and rectum. When the bladder and rectum are empty we find the direction of thevagina parallel to the pelvic brim. When the bladder is distended the. Tig. 27. Diagram of vertical mesial section of female pelvis, showing sigmoid curve of posterior vaginal wall(Schultze). (i/4) vagina is, chiefly at its upper part, driven nearer the sacrum ; while if therectum be distended, the vaginal axis may be almost perpendicular. Structure of Vagina.—The vaginal wall on section and microscopicalexamination is found to consist of mucous membrane, made up of epithe-lium (the superficial layer being squamous and nucleated, the deeperlayer cylindrical and with elongated nuclei) ; of connective tissue, elastictissue, and some unstriped muscular fibre. External to this lie twolayers of unstriped muscular fibre ; the inner longitudinal, the outer 28 MANUAL OF GYNECOLOGY. circular (Henle). Breisky alleges the inner to be circular. There areno proper glands in the vagina, but gland-like crypts and lymph folliclesexist (Lowenstein) (Fig. 29). The whole is surrounded by loose connec-tive tissue (Fig. 29). As already stated, the va
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Keywords: ., bookcentury1800, bookdecade1, booksubjectgynecology, bookyear1883
